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Home My WebLink About2017-00786 - windows � � ► CITYOFORONO * 2017 - 00786 * 2750 KELLEY PARKWAY DATE ISSUED: 07/12/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2675 SILVER VIEW DR PIN : 33-118-23-42-0012 LEGAL DESC : MEYER DAIRY ADDN : LOT 001 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 39,387.00 NOTE: REPLACE(17)WINDOWS AND(1)ENTRY DOOR W[THIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 603.02 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 19.69 1920 COUNTY RD C. WEST MAIL-IN FEE 2.00 ROSEVILLE, MN 55113 TOTAL 624.71 (612)502-4777 Payment(s) Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 624.71 OWNER JACQUEMART, RICH&JENNIFER 2675 SILVER VIEW DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. C- l� —�-c��2� i ��-i�7 Applicant Permitee Signature _ Date Issued B ignature Date .� . � �• - �ity of Orono Build�ng Permit ,Applica�ion far Maintenance I Renava#ion (windovvs, doors, sidin , re-roofir �tG.) MailingAddress: P�rmif number: �i' � 7^ �,�Q�,O Po Box ss ,,�1(� — Crystaf Bay,MN 55323-0066 Dai�e receYed: Received by' StreSt Add�Ss: °i Plen re�lew fee:� 2750 Ke11ey Parkway ��,�,� Orono,Mt�553�$ �� _7 , / Total�ee: Maln: 952�249�800 Fax: 952-249-4616 www.ci.arono.rr�;us 'fhis application form mus#be completed in fuil and�II requir�ed infiarmation must be submitted. Incomplete 8ppli�atlons wi11 be returned. (Pl�ase prin#) G�NER.AL 1NFORMATION: � �`I ��^ ��,�� Job Site Addresg: Will this be a Par�de of Homes, Remodalers 3howcase Home br o'ther Display Home? ❑Yes Na (f yes,a Spe�qui�d�nle 8 appl�ic�nt demonPo/t�Dufflc ent on s��ng 1 a'v��lab/e�f lVon-pe1'mltted ev6nts Wr7!not b�!lowed eNlCe wi11 b9 CONTRAC�"OR/APPLiCANT lNFORMATEON: Name' 1� \ 'A�-�'�S.er� Statie�icense# �C..\3�� Expiration Date: � ';(� Leatl CerCification Number: �j � r� a g 3 � Expir�tlon Date: �({(� _ (fo�work�n homes thae were aons�cted prior to 1978� ��c�' (Ge8) � Phone: (�5�� a� —�O�' �t ZIP: S54 M�iling Address: �q �,_, , '� "G" WE�- City;�,p� ; � Contact Person: Applic�tnt is �n ct I Fi�meowner �c��ie onB> Em�li andlor Fax: PROPERTY OWMER 1NFORMATfON: Name: � rY�'� . Phone (day): (�- !4 � zIP: Address: ��. Email at7dlor Fax PROJECT IN�'ORMCATION: Any earth movemertt may requlre �71P�oY Project: � MCWD revlew$permits: ' ❑Door(s) ❑Remodai []Fire Damage Minnehaha Craek Watershed Dlstrict(MCWD) � Starm Dama e 18202 Minnetonka Blvd Q Fts-raof,asphalt []Repair ❑ 9 peephaven,MN 55391 , ❑ Re-roof,ced�r ❑t�estoration ❑Wetsr Dsma9e Phone: 952-471-0590 Qther. (spec ) � Fax: 952-a71-0682 [�R�roof,oth�r(sPectfy) ❑ Siding � �� ,,,,,,y,,y rninnehehacr�ek.a�rr , �Window(s) Overatl Project�escription: n ' �'r � - Estimated Construction Valuat;on of�roject excfudin tand S `�' � APPLtCANT ACKNQWLEDGEM�NT: . Agrees to provide a!1 in�ormation required or requested by the Building D�partrnent; Certlfies that#he lnformation suppiied is irue and correct to t1'�e best�f his/l'�er knawled�e. The applicant recogntaas that ihey • are so161y responsibie for submftting a complate application being 8ware tE'iat upon faiiure W do so,the staif h9s no altem�t4ve but ts�reject it until it is complete; . SomA or all of 2he inform�tlon th8t you �re asked to provide an this appllcatt4n is Classified by State faw as either private or canfitiential. Private dat�is infiormation wtiiCh �eneraily Cannot he g'sven to the public but can be given ta the Subject of the data. Confidential data is Information which generally cannot be giv�n to either the publEc or the subJact of the data• Our purpase and lntended vse of this informatfon is to annually upda'te our records and records o'f other government�f agencies re uited b faw. If u refuse to su i the inforrnation ths a lication ma not be issued. Ao�iicant's Sianature' Date: ��U I� 1�" �� v -�qA�� TIME CITY OF ORONO CALLED IN �� MISPECTION OTICE SCHEDULED - — �� PERMIT N ` �r� M LETED y`� --� � ADDRESS ��/� �j OWNER T EPH NE O. �— o CONTRACTOR — D � DESCRIPTION � U e r 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAI _ r ❑ DEI�-SITE ❑ SEPTIC INSTALL Z OMINBIlCONTW1CfON TO MEET YWl:_YES_NO � COMMENT'� � ' i� �� f'C t�/�t� ' O ,IL � 'r�7 5 f .trl� � � ° ;�n6 " l ,�f ,� � �' Q u,, G/�.: � W W � � , � ❑YMORKSATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED �O IS8UE CEFiTIFlCATE OF OCCUPANCY OD ❑OORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFOREC.dVEFdNO PERMANENT ❑CORRECTUNSAFECONDITIONWfTHIN HOURS. p pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS_ caN i�u�e�ext rr�spect�on za nours�n ad�►a�oe. (952) 249-4600 s�te: �nspector: CaPy��P�ta's FlN C�n�ry CopY�No11e�